Gadjah Mada University

27 Oct 2019

Experience of International EMT activity

-Japan Disaster Relief Medical Team-

Yosuke Takada. RN, PHN, MSc.

Assistant Professor, Department of Disaster Medicine and Management
Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Okayama University
 EMT Definition
• EMTs are groups of health professionals (doctors,
nurses, paramedics etc.) that treat patients affecte
d by an emergency or disaster. They come from g
overnments, charities (NGOs), militaries and inter
national organizations such as the International R
ed Cross/Red Crescent movement. They work to c
omply with the classification and minimum stand
ards set by WHO and its partners, and come train
ed and self-sufficient so as not to burden the natio
nal system.
Japan Disaster Relief Teams
Infection Control Rescue

Medical

Self Defense Force

Specialist
　　　 Process of team deployment

Event Dicision Mobilization

making

Request for Dispatch

Inform of request
assistance order

Affected Japan
MoFA
Country Embassy

Dispatch a Team
 JDR Medical Team
 Volunteer bases roster system
Medical Doctor 282
Nurse
Pharmacist
395
55
Total 984
Logistician 252 　
 Regular training
Induction and Brushup
 Self-sufficiency
Food, Water, Incinerator, Accommodation
 Quick deployment
Wheel up within 48 hours
 Rotation base operation
2 weeks deployment
 6
http://data.unhcr.org/nepal/
7
8
 Health Cluster meeting
EMT Coordination meeting

9
 EMT Types
Type Description Capacity
1 Mobile Mobile outpatient Over 50 patients a
teams – day
Remote area access
teams for the
smallest communities
1 Fixed Outpatient facilities Over 100 outpatients
and tented structure a day
2 Inpatient facilities Over 100 outpatients
with surgery and 20 inpatients
and 7 major or 15
minor surgeries daily
 EMT Types
Type Description Capacity
3 Referral level care, Over 100 outpatients
inpatient facilities, including 4 – 6
surgery and high intensive care beds
dependency and 15 major of 30
minor surgeries daily
Specialist Cell Teams that join Any direct patient
national facilities or care related service
FMT’s to provide can be termed a
supplementary specialist cell FMT
specialist care when given in
services emergency response
by international
providers/clinicians
EMT types

12
Referral system based on EMT types
1 1 1 1 1 1 1 1

1 2 1 1 1 1
21 1

1 1 1 1 1 1 1 1

1 1 1
3 1 1 1 1

1 1 1 1 1 1 1

1
2 1 1 1 1 2 1

1 1 1 1 1 1 1 1
 Kathmandu-Barhabise
85km(4hrs by Car)

Meramuch Barhabise
Japan Red Cross

バレピ

ラムサン
Kathmandu グ

Kathmandu-Barhabise
85km

Durikel Hospital
7 tons equipment and luggage
16
Difficult access to the site

17
診療活動用テント
20
Translator

21
Point-and-Speak
Consultation

23
Traditional…….
Surgical operation

25
Ward

26
Physical Therapist

27
X-ray

28
Clinical Laboratory

29
Data management
Night duty

31
Meals

32
Hotel?!

33
Security 　 Management
 Giving your hands
　　Hands
Hands as
as nursing
nursing technics
technics
　　Hands
Hands for
for safety
safety and
and reassure
reassure
　　Hands
Hands for
for non-verbal
non-verbal
communication
communication
”Your are NOT alone and unaided”

We are always beside you

Thank you for attention

Terima kasih!

Yosuke Takada
yosuke.qq@gmail.com
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